Notification of Specific Business Office Concentration Reduction

Home care support service providers are required to create a "Notification regarding the specific business concentration reduction in home care support" that includes the name of the organization with the highest referral rate (hereinafter referred to as the "organization with the highest referral rate") for services positioned in the home care plan, twice a year during the assessment period.
If the percentage of the organization with the highest referral rate for any service exceeds 80% as a result of the calculation, the notification must be submitted to Inagi City regardless of the presence of "justifiable reasons". If it does not exceed 80%, it must be retained at each facility for two years.
For the submitted notification, if "justifiable reasons" are not stated or if Inagi City determines that the stated reasons do not qualify as "justifiable reasons", a deduction of 200 units from the prescribed unit count will be applied to all home care support fees for the deduction application period.

Determination Period, etc.

Period	Judgment Period	Submission Deadline	Deduction Application Period
Previous Term	From March 1 to the end of August of the same year	From September 1 to September 15	From October 1 to March 31 of the following year
Late Stage	From September 1st to the end of February of the following year	From March 1 to March 15	From April 1 to September 30 of the same year

Submitted Documents

Notification form regarding specific business office concentration reduction (Form 1 below: "Notification form regarding specific business office concentration reduction in home care support")
(Note) If there is a change in the applicability of the specific business office concentration reduction, please also submit the "Notification form regarding the system related to the calculation of nursing care benefits."

Form

• 1. Notification form regarding specific business office concentration reduction in home care support (Excel 66.5KB)
• 2. Criteria for Determining "Justifiable Reasons" for Specific Business Location Concentration Reduction (PDF 247.3KB)
• 3. Number of establishments by type of service in the daily living area (PDF 125.1KB)
  (As of September 1, 2023)

Submission Method

Please send it by mail or submit it at the counter to the following department.
Long-Term Care Insurance Section, Senior Welfare Division, Welfare Department, Inagi City
Postal Code 206-8601, 2111 Higashi-Naganuma, Inagi City, Tokyo

About "Justifiable Reasons"

For the "justifiable reasons" that exceed a certain introduction rate, please check the "2. Criteria for Judging 'Justifiable Reasons' for Specific Business Concentration Reduction" in the form below. Additionally, for the "daily living area" and the "number of facilities by type of service within the daily living area" mentioned in the said "justifiable reasons," please refer to the "3. Number of Facilities by Type of Service within the Daily Living Area" in the form below.

Calculation methods for day care services and community-based day care services

In determining the application of the specific business location concentration reduction, it is acceptable to calculate not for each of the home care services and community-based home care services (hereinafter referred to as "home care services, etc."), but to calculate the number of home care service plans that positioned either or both of the home care services, and to calculate the ratio of the number of home care service plans that positioned the corporation with the highest number of referrals for home care services, etc.